| NPI | 1477670453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BOWERS Nursing Supervisor 423-442-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: TN 000128430) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: TN 000128430) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |